Anxiety in children and adolescents with chronic physical health conditions: an updated meta-analysis.

IF 2.1 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2025-06-20 DOI:10.1093/jpepsy/jsaf048

Martin Pinquart, Alexander Thorwarth

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引用次数: 0

Abstract

Objective: The present meta-analysis aimed to test whether young people with chronic physical health conditions (CPHC) show elevated anxiety levels.

Methods: Studies were included if they (a) compared levels of anxiety symptoms or the prevalence of anxiety disorders between young people with CPHC and their peers without such conditions or test norms, or they provided sufficient information for comparison with test norms or a control group from that country with a similar mean age, (b) assessed children or adolescents (≤18 years), and (c) were published or made available by September 2024. Risk for bias was evaluated using the Mixed Methods Appraisal Tool. A systematic search in the electronic databases, PsycInfo, MEDLINE, Google Scholar, and PSYNDEX, and cross-referencing identified 1,251 papers for inclusion in the multi-level meta-analysis.

Results: On average, children with CPHC had higher anxiety symptoms compared to controls (g = 0.31), with the highest effect sizes observed in young people with thalassemia (g = 0.80), chronic headache (g = 0.60), chronic fatigue syndrome (g = 0.54), and hearing impairment (g = 0.51). Higher between-group differences were observed in observer-ratings compared to self-ratings, in studies comparing participants with peers rather than test norms, in samples with higher proportions of female participants and ethnic minorities, and in studies from developing countries. Results also varied depending on which anxiety measure was used and certain indicators of study quality.

Conclusions: Efforts are needed to screen young people with CPHC for anxiety symptoms and implement measures to prevent or reduce elevated symptoms.

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患有慢性身体健康状况的儿童和青少年的焦虑：一项最新的荟萃分析

目的：本荟萃分析旨在检验患有慢性身体健康状况（CPHC）的年轻人是否表现出焦虑水平升高。方法：纳入以下研究：(a)比较年轻CPHC患者与没有此类条件或测试规范的同龄人之间的焦虑症状水平或焦虑障碍的患病率，或提供足够的信息与测试规范或来自该国的平均年龄相似的对照组进行比较，(b)评估的儿童或青少年（≤18岁），以及(c)在2024年9月之前发表或提供。使用混合方法评估工具评估偏倚风险。系统检索电子数据库，PsycInfo， MEDLINE，谷歌Scholar和PSYNDEX，并交叉参考确定了1251篇论文纳入多层次元分析。结果：平均而言，与对照组相比，患有CPHC的儿童有更高的焦虑症状（g = 0.31），在地中海贫血（g = 0.80）、慢性头痛（g = 0.60）、慢性疲劳综合征（g = 0.54）和听力障碍（g = 0.51）的年轻人中观察到的效应量最高。与自我评价相比，在观察者评价中观察到更大的组间差异，在比较参与者与同伴而不是测试规范的研究中，在女性参与者和少数民族比例较高的样本中，以及在来自发展中国家的研究中。结果也取决于使用的焦虑测量方法和研究质量的某些指标。结论：需要努力筛查青少年CPHC患者的焦虑症状，并采取措施预防或减少症状升高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.